A. Carpal Tunnel Syndrome
B. Trigger Finger
C. Mallet Finger
D. Dupuytren contracture.
Ans:D. Dupuytren contracture. .
Image shows:Arrow denotes the typical cords of Dupuytren contracture. These cords are usually painless. Note the metacarpophalangeal joint contracture.
- Dupuytren disease is a fibrosing disorder that results in slowly progressive thickening and shorting of the palmar fascia and leads to debilitating digital contractures, particularly of the metacarpophalangeal (MCP) joints or the proximal interphalangeal (PIP) joints. This condition usually affects the fourth and fifth digits (the ring and small fingers).
- Dupuytren’s most often occurs in males over the age of 50.
Grades of severity:
- Grade 1 – Thickened nodule and band in the palmar aponeurosis; may have associated skin abnormalities
- Grade 2 – Development of pretendinous and digital cords with limitation of finger extension
- Grade 3 – Presence of flexion contracture
- People with severe involvement often show lumps on the back of their finger joints (called “Garrod’s pads”, “knuckle pads”, or “dorsal Dupuytren nodules”) and lumps in the arch of the feet (plantar fibromatosis or Ledderhose disease). Severe Dupuytren disease may also be associated with frozen shoulder (adhesive capsulitis of shoulder), Peyronie’s disease of the penis